ATL1

gene
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Also known as FSP1AD-FSP

Summary

ATL1 (atlastin GTPase 1, HGNC:11231) is a protein-coding gene on chromosome 14q22.1, encoding Atlastin-1 (Q8WXF7). Atlastin-1 (ATL1) is a membrane-anchored GTPase that mediates the GTP-dependent fusion of endoplasmic reticulum (ER) membranes, maintaining the continuous ER network.

The protein encoded by this gene is a GTPase and a Golgi body transmembrane protein. The encoded protein can form a homotetramer and has been shown to interact with spastin and with mitogen-activated protein kinase kinase kinase kinase 4. This protein may be involved in axonal maintenance as evidenced by the fact that defects in this gene are a cause of spastic paraplegia type 3. Three transcript variants encoding two different isoforms have been found for this gene.

Source: NCBI Gene 51062 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): neuropathy, hereditary sensory, type 1D (Definitive, ClinGen) — +2 more curated relationships
  • GWAS associations: 11
  • Clinical variants (ClinVar): 698 total — 40 pathogenic, 41 likely-pathogenic
  • Phenotypes (HPO): 73
  • MANE Select transcript: NM_015915

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:11231
Approved symbolATL1
Nameatlastin GTPase 1
Location14q22.1
Locus typegene with protein product
StatusApproved
AliasesFSP1, AD-FSP
Ensembl geneENSG00000198513
Ensembl biotypeprotein_coding
OMIM606439
Entrez51062

Gene structure

Transcript identifiers

Ensembl transcripts: 31 — 17 protein_coding, 10 retained_intron, 3 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined

ENST00000358385, ENST00000441560, ENST00000553509, ENST00000553746, ENST00000554886, ENST00000555266, ENST00000555960, ENST00000556067, ENST00000556478, ENST00000557735, ENST00000674288, ENST00000674478, ENST00000674503, ENST00000682037, ENST00000682219, ENST00000682226, ENST00000682487, ENST00000683037, ENST00000683315, ENST00000683330, ENST00000683703, ENST00000683837, ENST00000684737, ENST00000713928, ENST00000713929, ENST00000713930, ENST00000713931, ENST00000868185, ENST00000868186, ENST00000932063, ENST00000945455

RefSeq mRNA: 3 — MANE Select: NM_015915 NM_001127713, NM_015915, NM_181598

CCDS: CCDS32077, CCDS9700

Canonical transcript exons

ENST00000358385 — 14 exons

ExonStartEnd
ENSE000010015255061437350614511
ENSE000010015275059557650595632
ENSE000010015295062059950620726
ENSE000010015305061325950613351
ENSE000010015325059384650593896
ENSE000010015345062803150628462
ENSE000016721655056014550560299
ENSE000017547195062999550630009
ENSE000018819295063222950633045
ENSE000035187795059094150591075
ENSE000035659355059153550591639
ENSE000036228975062184350621899
ENSE000036429165058783150588078
ENSE000036429945062317750623248

Expression profiles

Bgee: expression breadth ubiquitous, 241 present calls, max score 99.00.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 9.1551 / max 488.0229, expressed in 1184 samples.

FANTOM5 promoters (7 alternative TSS)

Promoter IDTPM avgSamples expressed
1394985.7422979
1394962.2662638
1394970.6969200
1394930.169083
1394990.157576
1394950.069030
1394940.054320

Top tissues by expression

255 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
middle temporal gyrusUBERON:000277199.00gold quality
Brodmann (1909) area 23UBERON:001355498.91gold quality
endothelial cellCL:000011598.44gold quality
lateral nuclear group of thalamusUBERON:000273698.20gold quality
dorsal root ganglionUBERON:000004498.12gold quality
Brodmann (1909) area 46UBERON:000648397.86gold quality
substantia nigra pars compactaUBERON:000196597.64gold quality
ponsUBERON:000098897.38gold quality
superior frontal gyrusUBERON:000266197.10gold quality
entorhinal cortexUBERON:000272897.06gold quality
superior vestibular nucleusUBERON:000722797.01gold quality
substantia nigra pars reticulataUBERON:000196696.94gold quality
prefrontal cortexUBERON:000045196.81gold quality
occipital lobeUBERON:000202196.59gold quality
primary visual cortexUBERON:000243696.50gold quality
parietal lobeUBERON:000187296.49gold quality
Brodmann (1909) area 9UBERON:001354096.47gold quality
medulla oblongataUBERON:000189696.34gold quality
postcentral gyrusUBERON:000258196.25gold quality
frontal cortexUBERON:000187096.22gold quality
dorsolateral prefrontal cortexUBERON:000983496.13gold quality
trigeminal ganglionUBERON:000167595.94gold quality
dorsal plus ventral thalamusUBERON:000189795.91gold quality
lateral globus pallidusUBERON:000247695.73gold quality
neocortexUBERON:000195095.58gold quality
cortical plateUBERON:000534395.52gold quality
cerebral cortexUBERON:000095695.50gold quality
ventral tegmental areaUBERON:000269195.00gold quality
right frontal lobeUBERON:000281094.46gold quality
inferior vagus X ganglionUBERON:000536394.34gold quality

Single-cell (SCXA)

Detected in 15 experiment(s), a significant marker in 12.

ExperimentMarker?Max mean expression
E-CURD-88yes3415.22
E-MTAB-6701yes2845.32
E-CURD-79yes2714.20
E-MTAB-10485yes2182.42
E-MTAB-9154yes1802.33
E-MTAB-8142yes110.68
E-HCAD-1yes41.82
E-HCAD-9yes18.38
E-CURD-46yes18.35
E-GEOD-137537yes8.81
E-HCAD-10yes7.38
E-ANND-3yes4.95
E-CURD-135no3248.45
E-GEOD-134144no2915.48
E-MTAB-6108no1369.19

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

82 targeting ATL1, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-5011-5P100.0083.465820
HSA-MIR-4262100.0073.263931
HSA-LET-7A-3P100.0074.033932
HSA-LET-7B-3P100.0074.083913
HSA-LET-7F-1-3P100.0074.023928
HSA-MIR-98-3P100.0074.083907
HSA-MIR-3646100.0073.565283
HSA-MIR-181A-5P99.9972.962995
HSA-MIR-181B-5P99.9972.972996
HSA-MIR-181C-5P99.9972.952996
HSA-MIR-181D-5P99.9973.042997
HSA-MIR-428299.9975.366408
HSA-MIR-186-5P99.9970.833707
HSA-MIR-520D-5P99.9873.344883
HSA-MIR-524-5P99.9873.434882
HSA-MIR-60799.9773.625593
HSA-MIR-4666A-3P99.9671.713434
HSA-MIR-493-5P99.9672.472382
HSA-MIR-568899.9673.234504
HSA-MIR-495-3P99.9672.814197
HSA-MIR-141-3P99.9472.792421
HSA-MIR-200A-3P99.9472.682420
HSA-MIR-218-5P99.9372.222103
HSA-MIR-381-3P99.9371.872854
HSA-MIR-30099.9271.762856
HSA-MIR-7-1-3P99.9171.534384
HSA-MIR-7-2-3P99.9171.404394
HSA-MIR-568099.9169.833421
HSA-MIR-368699.9070.532432
HSA-MIR-153-5P99.8973.866317

Literature-anchored findings (GeneRIF, showing 40)

  • This study reports a novel mutation in the SPG3A gene in a family with spastic paraplegia, further confirming that mutations in this gene cause autosomal dominant hereditary spastic paraplegia. (PMID:12112092)
  • identification as a multimeric integral membrane GTPase that may be involved in Golgi membrane dynamics or vesicle trafficking (PMID:14506257)
  • The R239C mutation was found to co-segregate with autosomal dominant hereditary spastic paraplegia (ADHSP) in one English ADHSP family confirming a widespread prevalence for this commonly occurring mutation (PMID:14607301)
  • In a family with autosomal dominant spastic paraplegia, heterozygous substitution in exon 12 exchanges arginine for tryptophan at position 415 (R415W) abolishing an MSP I recognition site (CC’GG). (PMID:15184642)
  • This paper report a novel mutation in the SPG3A gene in an African American family with an infantile onset of autosomal dominant hereditary spastic paraplegia. (PMID:15477516)
  • Three novel mutations were found in exons 4, 9, and 12 of the atlastin gene and the common R239C mutation located in exon 7 was confirmed in a 7th family of European origin (PMID:15517445)
  • All mutations of atlastin1 in young-onset autosomal dominant spastic paraplegia patients in France were found in exons 7, 8, 12, and 13. These exons should be given priority when performing molecular diagnoses for SPG3A. (PMID:15596607)
  • This study report a new atlastin(R495W) mutation causing spastic paraplegia in association with axonal neuropathy in an Italian family. (PMID:15742100)
  • Spastin and atlastin, two proteins mutated in autosomal-dominant hereditary spastic paraplegia, are binding partners. (PMID:16339213)
  • Seven families with six different SPG3A mutations were identified among 106 with autosomal dominant hereditary spastic paraplegia (HSP). (PMID:16401858)
  • This study identified a novel SPG3A mutation (L157W) in the proband and her affected child. (PMID:16533974)
  • Interaction between atlastin and spastin may define a cellular biological pathway that is important in axon maintenance, the failure of which may be pathogenetically relevant. (PMID:16815977)
  • Atlastin plays a role in vesicle trafficking in the ER/Golgi interface (PMID:17321752)
  • This study identified Y469C mutation in SPG3A in Japanese family with hereditary spastic paraplegia. (PMID:17380240)
  • In a large SPG3A screen of 70 hereditary spastic paraplegia subjects, a novel in-frame deletion, p.del436N, was identified which affects neither the guanosine triphosphatase activity of atlastin nor interactions between atlastin and spastin. (PMID:17427918)
  • Mutations in SPG3A represent an important cause of patients in the overall hereditary spastic paraplegia population. (PMID:17502470)
  • identification of one novel and one known SPG3A mutation in screening 20 families and 23 sporadic cases of hereditary spastic paraplegia in Chinese Han population (PMID:17531128)
  • We describe a severe case of herediatry spastic paraplegia, extending the clinical spectrum of SPG3A mutations to a very severe and very early complicated phenotype. (PMID:18446315)
  • in dominant spastic paraplegia families, mutation analysis was performed for SPG4 & SPG3A genes; identified 10 novel mutations: one in SPG3A & 9 in SPG4 genes; most of the novel mutations were frameshift or nonsense (80%) (PMID:18664244)
  • In hereditary spastic paraplegia, one new disease causing sequence variant and one non pathogenic non synonymous variant were found in SPG3A. (PMID:19423133)
  • Four novel SPG3A/atlastin mutations identified in autosomal dominant hereditary spastic paraplegia kindreds with intra-familial variability in age of onset and complex phenotype (PMID:19459885)
  • Atlastin-1 might be implicated in membrane tubulation and vesiculation and may participate in the formation as well as the function of the endoplasmic reticulum. (PMID:19573020)
  • Using DNA mutation analysis, the authors identified an SPG3A missense mutation (p.R239C) in a Chinese family where three members have early-onset pure spastic paraplegia. (PMID:19652243)
  • study describes two patients with Silver phenotype including one with a novel SPG4 (Spastin) mutation and a second with a known SPG 4 mutation (previously unassociated with this phenotype) and a concomitant previously unreported mutation in SPG3A (PMID:19730024)
  • Data report a new heterozygous S398F mutation in exon 12 of the SPG3A gene causing a very early-onset spastic paraplegia in association with motor axonal neuropathy resembling diplegic cerebral palsy. (PMID:19735987)
  • a new mutation in SPG3A in Italian family manifesting a complex phenotype characterized by cerebellar involvement and amyotrophic lateral sclerosis-like syndrome (PMID:19768483)
  • Hereditary spastic paraplegias (HSP) proteins atlastin-1, spastin, and REEP1 interact within the tubularER membrane in corticospinal neurons to coordinate ER shaping and microtubule dynamics. (PMID:20200447)
  • previously unreported autosomal dominant mutations in the atlastin gene in hereditary spastic paraplegia (PMID:20718791)
  • In a large cohort of Spanish patients with spastic paraplegia, SPAST and ATL1 mutations were found in 15% of the cases (PMID:20932283)
  • This study highlights an unexpected major role for atlastin-1 in the function of sensory neurons and identifies hereditary sensory neuropathy type I and Spastic paraplegia 3, autosomal dominant as allelic disorders. (PMID:21194679)
  • a model for nucleotide-dependent regulation of atlastin with implications for membrane fusion. This mechanism is affected in several mutants associated with HSP, providing insights into disease pathogenesis. (PMID:21220294)
  • We identified a novel mutation, c.1040T>C (p. M347T), in a family with axonal neuropathy in addition to spastic paraplegia. (PMID:21321493)
  • experiments also show that membrane fusion is facilitated by the C-terminal cytosolic tails following the two transmembrane segments. Finally, our results show that mutations in ATL1 causing hereditary spastic paraplegia compromise homotypic ER fusion (PMID:21368113)
  • increasing the distance of atlastin complex formation from the membrane inhibits fusion, suggesting that this distance is crucial for atlastin to promote fusion (PMID:21930898)
  • The N355K atlastin 1 mutation is associated with hereditary sensory neuropathy. (PMID:22340599)
  • these results further supports the role of the atlastin-1 of BMP signaling cascade in axonal maintenance and axonal degeneration, which is seen in various types of hereditary spastic paraplegia. (PMID:23079343)
  • Three novel ATL1 mutations are identified in a cohort of patients with upper motor neuron syndrome. (PMID:23108492)
  • frontal glucose hypometabolism was associated with frontal cognitive impairment indicating that widespread neuropathology associated with mutations in the SPG3A gene (PMID:23233086)
  • The cytoplasmic domain of atlastin acts as a tether and homotypic interactions are timed by GTP binding and hydrolysis. (PMID:23334294)
  • The atlastin-mediated fusion of ER membranes is important for LD size regulation. (PMID:23684613)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_rerioatl1ENSDARG00000060481
mus_musculusAtl1ENSMUSG00000021066
rattus_norvegicusAtl1ENSRNOG00000005063
drosophila_melanogasteratlFBGN0039213

Paralogs (10): GBP3 (ENSG00000117226), GBP1 (ENSG00000117228), ATL2 (ENSG00000119787), RNF112 (ENSG00000128482), GBP5 (ENSG00000154451), GBP2 (ENSG00000162645), GBP4 (ENSG00000162654), GBP6 (ENSG00000183347), ATL3 (ENSG00000184743), GBP7 (ENSG00000213512)

Protein

Protein identifiers

Atlastin-1Q8WXF7 (reviewed: Q8WXF7)

Alternative names: Brain-specific GTP-binding protein, GTP-binding protein 3, Guanine nucleotide-binding protein 3, Spastic paraplegia 3 protein A

All UniProt accessions (13): A0A0S2Z5A2, A0A0S2Z5B0, A0A6I8PIS8, A0A6I8PUC8, A0A804HLC1, A0AAQ5BH54, Q8WXF7, G3V321, G3V334, G3V4Y8, G3V5T4, H0YJ65, H0YJA7

UniProt curated annotations — full annotation on UniProt →

Function. Atlastin-1 (ATL1) is a membrane-anchored GTPase that mediates the GTP-dependent fusion of endoplasmic reticulum (ER) membranes, maintaining the continuous ER network. It facilitates the formation of three-way junctions where ER tubules intersect. Two atlastin-1 on neighboring ER tubules bind GTP and form loose homodimers through the GB1/RHD3-type G domains and 3HB regions. Upon GTP hydrolysis, the 3HB regions tighten, pulling the membranes together to drive their fusion. After fusion, the homodimer disassembles upon release of inorganic phosphate (Pi). Subsequently, GDP dissociates, resetting the monomers to a conformation ready for a new fusion cycle. May also regulate more or less directly Golgi biogenesis. Indirectly regulates axonal development.

Subunit / interactions. Monomeric and homodimeric. The homodimer, transiently formed by two molecules on opposing membranes, is the active form mediating ER membrane fusion. Interacts with REEP1, REEP5, RTN3 and RTN4 (via the transmembrane region); these proteins are involved in endoplasmic reticulum tubular network organization. Interacts with ZFYVE27; both proteins are involved in endoplasmic reticulum tubular network organization. Interacts with ARL6IP1; both proteins are involved in endoplasmic reticulum tubular network organization. Interacts with SPAST; the interaction is direct, could recruit SPAST to Golgi membranes. Interacts (via N-terminal region) with MAP4K4 (via CNH regulatory domain). May interact with TMED2. Interacts with CPT1C.

Subcellular location. Endoplasmic reticulum membrane. Golgi apparatus membrane. Cell projection. Axon.

Tissue specificity. Expressed predominantly in the adult and fetal central nervous system. Measurable expression in all tissues examined, although expression in adult brain is at least 50-fold higher than in other tissues. Detected predominantly in pyramidal neurons in the cerebral cortex and the hippocampus of the brain. Expressed in upper and lower motor neurons (at protein level).

Post-translational modifications. Phosphorylated. Phosphorylation, by different kinases, of the N-terminal hypervariable region (HVR) regulates the ATL1-mediated membrane tethering step.

Disease relevance. Spastic paraplegia 3, autosomal dominant (SPG3) [MIM:182600] A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. The disease is caused by variants affecting the gene represented in this entry. Neuropathy, hereditary sensory, 1D (HSN1D) [MIM:613708] A disease characterized by adult-onset distal axonal sensory neuropathy leading to mutilating ulcerations as well as hyporeflexia. Some patients may show features suggesting upper neuron involvement. The disease is caused by variants affecting the gene represented in this entry.

Domain organisation. The N-terminal hypervariable region (HVR) regulates ATL1-mediated membrane tethering by organizing ATL1 into a lattice structure on the same membrane. It does not affect GTP hydrolysis or membrane fusion. It has no effect on the GTP hydrolysis and fusion steps. The GB1/RHD3-type G domain mediates GTP-binding and hydrolysis as well as homodimerization. The two three-helix bundle (3HB) regions in the homodimer are loosely associated initially, but they tighten upon GTP hydrolysis, facilitating the fusion of membranes. The C-terminal autoinhibitory domain negatively regulates the GTPase-dependent fusogenic activity without affecting GTP-binding.

Similarity. Belongs to the TRAFAC class dynamin-like GTPase superfamily. GB1/RHD3 GTPase family. GB1 subfamily.

Isoforms (2)

UniProt IDNamesCanonical?
Q8WXF7-11yes
Q8WXF7-22

RefSeq proteins (3): NP_001121185, NP_056999, NP_853629 (=MANE)

Domains & families (InterPro)

IDNameType
IPR015894Guanylate-bd_NDomain
IPR027417P-loop_NTPaseHomologous_superfamily
IPR030386G_GB1_RHD3_domDomain
IPR036543Guanylate-bd_C_sfHomologous_superfamily

Pfam: PF02263

Catalyzed reactions (Rhea), 1 shown:

  • GTP + H2O = GDP + phosphate + H(+) (RHEA:19669)

UniProt features (116 total): sequence variant 23, binding site 21, strand 17, mutagenesis site 16, helix 14, turn 7, region of interest 5, modified residue 4, topological domain 3, transmembrane region 2, chain 1, coiled-coil region 1, splice variant 1, domain 1

Structure

Experimental structures (PDB)

14 structures.

PDBMethodResolution (Å)
6B9FX-RAY DIFFRACTION1.9
7OL3X-RAY DIFFRACTION1.9
6B9DX-RAY DIFFRACTION1.95
6B9EX-RAY DIFFRACTION1.99
4IDOX-RAY DIFFRACTION2.09
6XJNX-RAY DIFFRACTION2.2
4IDNX-RAY DIFFRACTION2.25
4IDQX-RAY DIFFRACTION2.29
4IDPX-RAY DIFFRACTION2.59
3Q5DX-RAY DIFFRACTION2.7
3QNUX-RAY DIFFRACTION2.8
3QOFX-RAY DIFFRACTION2.8
6B9GX-RAY DIFFRACTION3
3Q5EX-RAY DIFFRACTION3.01

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q8WXF7-F186.490.65

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (21): 77; 77; 78; 78; 79; 79; 80; 80; 81; 81; 81; 82

Post-translational modifications (4): 10, 22, 23, 395

Mutagenesis-validated functional residues (16):

PositionPhenotype
10no effect on gtpase-dependent fusogenic activity. no effect on the membrane tethering step.
10decreased gtpase-dependent fusogenic activity. specifically alters the membrane tethering step.
22no effect on gtpase-dependent fusogenic activity; when associated with a-23.
22no effect on gtpase-dependent fusogenic activity. no effect on the membrane tethering step; when associated with e-23.
23no effect on gtpase-dependent fusogenic activity; when associated with a-22.
23no effect on gtpase-dependent fusogenic activity. no effect on the membrane tethering step; when associated with e-22.
77abolishes gtpase activity and impairs homodimerization.
77abolishes homodimerization. loss of gtpase-dependent fusogenic activity.
80changed endoplasmic reticulum tubular network organization. alters endoplasmic reticulum morphogenesis.
151changed endoplasmic reticulum tubular network organization. endoplasmic reticulum and golgi morphology are affected.
162changed endoplasmic reticulum tubular network organization. endoplasmic reticulum and golgi morphology are affected.
191abolishes homodimerization.
247impairs homodimerization and gtpase activity.
398changed endoplasmic reticulum tubular network organization. alters homodimerization. endoplasmic reticulum and golgi mor
443changed endoplasmic reticulum tubular network membrane organization.
507loss of gtpase-dependent fusogenic activity.

Function

Pathways and Gene Ontology

Reactome pathways

0 pathways

MSigDB gene sets: 283 (showing top): RNGTGGGC_UNKNOWN, BERTUCCI_MEDULLARY_VS_DUCTAL_BREAST_CANCER_DN, GOBP_MEMBRANE_FUSION, GOBP_NEUROGENESIS, SENESE_HDAC1_AND_HDAC2_TARGETS_DN, GOBP_ORGANELLE_MEMBRANE_FUSION, ZIC1_01, TGANTCA_AP1_C, GOBP_ENDOMEMBRANE_SYSTEM_ORGANIZATION, GOBP_PROTEIN_HOMOOLIGOMERIZATION, GOCC_NEURON_PROJECTION, RFX1_02, GOBP_MEMBRANE_ORGANIZATION, GOBP_CELL_PROJECTION_ORGANIZATION, GOBP_ENDOPLASMIC_RETICULUM_ORGANIZATION

GO Biological Process (5): endoplasmic reticulum organization (GO:0007029), axonogenesis (GO:0007409), endoplasmic reticulum membrane fusion (GO:0016320), protein homooligomerization (GO:0051260), endoplasmic reticulum tubular network membrane organization (GO:1990809)

GO Molecular Function (7): GTPase activity (GO:0003924), GTP binding (GO:0005525), identical protein binding (GO:0042802), GTPase-dependent fusogenic activity (GO:0140523), nucleotide binding (GO:0000166), protein binding (GO:0005515), hydrolase activity (GO:0016787)

GO Cellular Component (12): Golgi membrane (GO:0000139), endoplasmic reticulum (GO:0005783), endoplasmic reticulum membrane (GO:0005789), Golgi apparatus (GO:0005794), axon (GO:0030424), endoplasmic reticulum tubular network (GO:0071782), endoplasmic reticulum tubular network membrane (GO:0098826), Golgi cis cisterna membrane (GO:1990674), cytoplasm (GO:0005737), membrane (GO:0016020), cell projection (GO:0042995), endoplasmic reticulum subcompartment (GO:0098827)

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure3
endoplasmic reticulum membrane organization2
cytoplasm2
endomembrane system2
intracellular membrane-bounded organelle2
endoplasmic reticulum subcompartment2
organelle organization1
endomembrane system organization1
cell morphogenesis involved in neuron differentiation1
neuron projection morphogenesis1
axon development1
endoplasmic reticulum organization1
organelle membrane fusion1
protein complex oligomerization1
endoplasmic reticulum tubular network organization1
ribonucleoside triphosphate phosphatase activity1
guanyl ribonucleotide binding1
purine ribonucleoside triphosphate binding1
protein binding1
GTPase activity1
membrane fusion1
fusogenic activity1
nucleoside phosphate binding1
heterocyclic compound binding1
binding1
catalytic activity1
Golgi apparatus1
bounding membrane of organelle1
organelle membrane1
nuclear outer membrane-endoplasmic reticulum membrane network1
neuron projection1
endoplasmic reticulum membrane1
endoplasmic reticulum tubular network1
Golgi cis cisterna1
Golgi cisterna membrane1
intracellular anatomical structure1
endoplasmic reticulum1
organelle subcompartment1

Protein interactions and networks

STRING

992 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
ATL1SPASTQ9UBP0995
ATL1REEP1Q9H902982
ATL1NIPA1Q7RTP0861
ATL1SPARTQ8N0X7841
ATL1RTN2O75298838
ATL1RTN1Q16799822
ATL1REEP5Q00765817
ATL1ARL6IP1Q15041752
ATL1SSNA1O43805749
ATL1ZFYVE27Q5T4F4744
ATL1REEP2Q9BRK0735
ATL1SPG11Q96JI7734
ATL1WASHC5Q12768728
ATL1ZFYVE26Q68DK2703
ATL1CHMP1BQ7LBR1698

IntAct

129 interactions, top by confidence:

ABTypeScore
ATL1ATL1psi-mi:“MI:0407”(direct interaction)0.850
ATL1DNM2psi-mi:“MI:0915”(physical association)0.560
ATL1psi-mi:“MI:0915”(physical association)0.560
LMNAATL1psi-mi:“MI:0915”(physical association)0.560
ATL1NDUFV2psi-mi:“MI:0915”(physical association)0.560
ATL1NF2psi-mi:“MI:0915”(physical association)0.560
ATL1PEX7psi-mi:“MI:0915”(physical association)0.560
ATL1PPT1psi-mi:“MI:0915”(physical association)0.560
ATL1PRNPpsi-mi:“MI:0915”(physical association)0.560
ATL1PRPHpsi-mi:“MI:0915”(physical association)0.560
ATL1SMN1psi-mi:“MI:0915”(physical association)0.560
TSC1ATL1psi-mi:“MI:0915”(physical association)0.560
ATL1RAB7Apsi-mi:“MI:0915”(physical association)0.560
ATL1YARS1psi-mi:“MI:0915”(physical association)0.560
ATL1OPTNpsi-mi:“MI:0915”(physical association)0.560
ATL1JPH3psi-mi:“MI:0915”(physical association)0.560
ATL1PANK2psi-mi:“MI:0915”(physical association)0.560

BioGRID (85): ATL1 (Affinity Capture-MS), ATL1 (Affinity Capture-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Affinity Capture-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS), ATL1 (Proximity Label-MS)

ESM2 similar proteins: A5PKI3, A7E2Z9, A8MWY0, B0BLS9, D4A1F2, F1MF74, O94851, P58335, P58499, P97259, P97675, P97805, Q04499, Q08834, Q09328, Q0ZHH6, Q2M146, Q3UZV7, Q58D72, Q5EBA1, Q5I598, Q5R4P1, Q60HD2, Q6DD88, Q6DDW2, Q6DFX2, Q6DYE8, Q6GQC1, Q6NVG7, Q6PA06, Q6PST4, Q7ZYY4, Q80YD1, Q810F4, Q8BH66, Q8BML1, Q8IYB8, Q8K1B9, Q8NHH9, Q8R4G6

Diamond homologs: A0JN74, A6NK02, B1H278, I1YAP6, O00635, O19085, O70418, O77666, P0C8K8, P19474, P62603, Q08DF2, Q0PF16, Q0ZHH6, Q12899, Q14258, Q1ACD5, Q1ACD6, Q1ACD7, Q1ACD8, Q1XHT8, Q1XHU0, Q2T9Z0, Q2YEM8, Q2YEM9, Q2YEN0, Q2YEN2, Q3UWA4, Q3UWZ0, Q3ZEE5, Q495X7, Q587N6, Q587N7, Q58D72, Q5BK82, Q5BN31, Q5C8T6, Q5C8T8, Q5C8U1, Q5C8U3

SIGNOR signaling

0 interactions.

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 50 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
COPI-mediated anterograde transport618.8×3e-05
COPI-dependent Golgi-to-ER retrograde traffic515.8×1e-04

GO biological processes:

GO termPartnersFoldFDR
retrograde vesicle-mediated transport, Golgi to endoplasmic reticulum537.5×1e-04
endoplasmic reticulum to Golgi vesicle-mediated transport618.1×2e-04
Golgi organization514.9×1e-03
endocytosis510.6×4e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

698 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic40
Likely pathogenic41
Uncertain significance306
Likely benign171
Benign46

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1072586NM_015915.5(ATL1):c.565C>G (p.His189Asp)Pathogenic
1275819NM_015915.5(ATL1):c.1501C>T (p.Arg501Ter)Pathogenic
1456145NM_015915.5(ATL1):c.773A>T (p.His258Leu)Pathogenic
157549NM_015915.5(ATL1):c.353G>A (p.Arg118Gln)Pathogenic
191046NM_015915.5(ATL1):c.988A>T (p.Lys330Ter)Pathogenic
1996944NM_015915.5(ATL1):c.584A>C (p.Glu195Ala)Pathogenic
2037429NM_015915.5(ATL1):c.1101C>A (p.Tyr367Ter)Pathogenic
208489NM_015915.5(ATL1):c.596T>A (p.Leu199Gln)Pathogenic
21531NM_015915.5(ATL1):c.467C>T (p.Thr156Ile)Pathogenic
2571508NM_015915.5(ATL1):c.1024C>T (p.Pro342Ser)Pathogenic
2571511NM_015915.5(ATL1):c.1193C>T (p.Ser398Phe)Pathogenic
2571515NM_015915.5(ATL1):c.1319A>C (p.Asn440Thr)Pathogenic
2826561NM_015915.5(ATL1):c.1030_1040del (p.Pro344fs)Pathogenic
2860253NM_015915.5(ATL1):c.336G>A (p.Trp112Ter)Pathogenic
30579NM_015915.5(ATL1):c.1065C>A (p.Asn355Lys)Pathogenic
3244009NC_000014.8:g.(?51087297)(51095200_?)delPathogenic
3606208NM_015915.5(ATL1):c.56_57del (p.Thr18_Tyr19insTer)Pathogenic
3639402NM_015915.5(ATL1):c.521del (p.Gln174fs)Pathogenic
3729603NM_015915.5(ATL1):c.1008T>G (p.Tyr336Ter)Pathogenic
4081053NM_015915.5(ATL1):c.523-2A>CPathogenic
4347NM_015915.5(ATL1):c.776C>A (p.Ser259Tyr)Pathogenic
4348NM_015915.5(ATL1):c.773A>G (p.His258Arg)Pathogenic
4351NM_015915.5(ATL1):c.1222A>G (p.Met408Val)Pathogenic
4353NM_015915.5(ATL1):c.470T>G (p.Leu157Trp)Pathogenic
576063NM_015915.5(ATL1):c.572A>G (p.Gln191Arg)Pathogenic
640860NM_015915.5(ATL1):c.1488C>A (p.Tyr496Ter)Pathogenic
654142NM_015915.5(ATL1):c.1048G>A (p.Ala350Thr)Pathogenic
803025NM_015915.5(ATL1):c.488T>C (p.Val163Ala)Pathogenic
803026NM_015915.5(ATL1):c.1223T>C (p.Met408Thr)Pathogenic
831440NC_000014.9:g.(?50560256)(50632349_?)delPathogenic

SpliceAI

1711 predictions. Top by Δscore:

VariantEffectΔscore
14:50560295:TTGGG:Tdonor_gain1.0000
14:50560296:TGGG:Tdonor_gain1.0000
14:50560297:GGG:Gdonor_gain1.0000
14:50560297:GGGG:Gdonor_gain1.0000
14:50560298:GG:Gdonor_gain1.0000
14:50560298:GGG:Gdonor_gain1.0000
14:50560299:GG:Gdonor_gain1.0000
14:50560299:GGTG:Gdonor_loss1.0000
14:50560300:G:GGdonor_gain1.0000
14:50560300:GTG:Gdonor_loss1.0000
14:50560301:T:Adonor_loss1.0000
14:50587992:G:GTdonor_gain1.0000
14:50588076:CAGG:Cdonor_loss1.0000
14:50588077:AGGTA:Adonor_loss1.0000
14:50588078:GG:Gdonor_loss1.0000
14:50588079:G:Tdonor_loss1.0000
14:50588087:G:GTdonor_gain1.0000
14:50590935:TTATA:Tacceptor_loss1.0000
14:50590936:TATA:Tacceptor_loss1.0000
14:50590938:TAG:Tacceptor_loss1.0000
14:50590939:A:AGacceptor_gain1.0000
14:50590940:G:GGacceptor_gain1.0000
14:50591073:AAGGT:Adonor_loss1.0000
14:50591074:AG:Adonor_loss1.0000
14:50591075:GG:Gdonor_loss1.0000
14:50591076:GTATG:Gdonor_loss1.0000
14:50591531:GTA:Gacceptor_loss1.0000
14:50591533:A:AGacceptor_gain1.0000
14:50591533:A:Tacceptor_loss1.0000
14:50591534:G:GGacceptor_gain1.0000

AlphaMissense

3681 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
14:50588011:T:AV72D1.000
14:50588014:C:AA73D1.000
14:50588016:G:AG74R1.000
14:50588016:G:CG74R1.000
14:50588017:G:AG74E1.000
14:50588017:G:TG74V1.000
14:50588022:T:CF76L1.000
14:50588024:T:AF76L1.000
14:50588024:T:GF76L1.000
14:50588025:A:GR77G1.000
14:50588026:G:CR77T1.000
14:50588026:G:TR77I1.000
14:50588027:A:CR77S1.000
14:50588027:A:TR77S1.000
14:50588031:G:AG79R1.000
14:50588031:G:CG79R1.000
14:50588032:G:AG79E1.000
14:50588032:G:CG79A1.000
14:50588032:G:TG79V1.000
14:50588034:A:CK80Q1.000
14:50588035:A:TK80I1.000
14:50588036:A:CK80N1.000
14:50588036:A:TK80N1.000
14:50588037:T:CS81P1.000
14:50588038:C:TS81L1.000
14:50588040:T:CF82L1.000
14:50588042:C:AF82L1.000
14:50588042:C:GF82L1.000
14:50590986:T:CF110L1.000
14:50590987:T:CF110S1.000

dbSNP variants (sampled 300 via entrez): RS1000025602 (14:50541257 AT>A), RS1000056984 (14:50602537 T>G), RS1000059913 (14:50623761 T>C), RS1000093605 (14:50587090 C>A), RS1000106152 (14:50616776 A>C,G), RS1000106994 (14:50567741 C>A,G), RS1000132948 (14:50623963 G>A), RS1000157670 (14:50594372 T>C), RS1000194563 (14:50563351 G>A,T), RS1000212015 (14:50602347 C>T), RS1000213935 (14:50598492 C>G), RS1000271235 (14:50579980 TA>T), RS1000292067 (14:50548729 C>T), RS1000302415 (14:50617058 T>C), RS1000321005 (14:50559887 T>G)

Disease associations

OMIM: gene MIM:606439 | disease phenotypes: MIM:182600, MIM:613708, MIM:303350, MIM:118220, MIM:616559

GenCC curated gene-disease

DiseaseClassificationInheritance
hereditary spastic paraplegia 3ADefinitiveSemidominant
neuropathy, hereditary sensory, type 1DDefinitiveAutosomal dominant
hereditary sensory and autonomic neuropathy type 1SupportiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
neuropathy, hereditary sensory, type 1DDefinitiveAD

Mondo (7): hereditary spastic paraplegia 3A (MONDO:0008437), neuropathy, hereditary sensory, type 1D (MONDO:0013381), congenital nervous system disorder (MONDO:0002320), hereditary spastic paraplegia (MONDO:0019064), Charcot-Marie-Tooth disease (MONDO:0015626), Noonan syndrome 9 (MONDO:0014691), hereditary sensory and autonomic neuropathy type 1 (MONDO:0018213)

Orphanet (5): Autosomal dominant spastic paraplegia type 3 (Orphanet:100984), Hereditary sensory and autonomic neuropathy type 1 (Orphanet:36386), Hereditary spastic paraplegia (Orphanet:685), Charcot-Marie-Tooth disease/Hereditary motor and sensory neuropathy (Orphanet:166), Noonan syndrome (Orphanet:648)

HPO phenotypes

73 total (30 of 73 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000012Urinary urgency
HP:0000020Urinary incontinence
HP:0000365Hearing impairment
HP:0000962Hyperkeratosis
HP:0001026Penetrating foot ulcers
HP:0001058Poor wound healing
HP:0001256Mild intellectual disability
HP:0001258Spastic paraplegia
HP:0001260Dysarthria
HP:0001270Motor delay
HP:0001288Gait disturbance
HP:0001324Muscle weakness
HP:0001347Hyperreflexia
HP:0001510Growth delay
HP:0001761Pes cavus
HP:0002020Gastroesophageal reflux
HP:0002061Lower limb spasticity
HP:0002063Rigidity
HP:0002064Spastic gait
HP:0002067Bradykinesia
HP:0002079Hypoplasia of the corpus callosum
HP:0002141Gait imbalance
HP:0002166Impaired vibration sensation in the lower limbs
HP:0002270Abnormality of the autonomic nervous system
HP:0002314Degeneration of the lateral corticospinal tracts
HP:0002359Frequent falls
HP:0002395Lower limb hyperreflexia
HP:0002460Distal muscle weakness
HP:0002495Impaired vibratory sensation

GWAS associations

11 associations (top):

StudyTraitp-value
GCST000579_60Cognitive performance3.000000e-07
GCST002312_10Periodontal disease-related phenotype (Socransky)8.000000e-06
GCST002479_13Lupus nephritis in systemic lupus erythematosus3.000000e-07
GCST004858_18Dupuytren’s disease2.000000e-17
GCST007294_112Body fat distribution (trunk fat ratio)3.000000e-08
GCST007294_152Body fat distribution (trunk fat ratio)1.000000e-12
GCST007294_92Body fat distribution (trunk fat ratio)8.000000e-06
GCST007295_114Body fat distribution (leg fat ratio)3.000000e-08
GCST007295_16Body fat distribution (leg fat ratio)1.000000e-11
GCST007295_96Body fat distribution (leg fat ratio)2.000000e-18
GCST012490_218Femur bone mineral density x serum urate levels interaction2.000000e-09

EFO canonical traits (4, from GWAS)

EFO IDTrait name
EFO:0003926neuropsychological test
EFO:0004229Dupuytren Contracture
EFO:0004341body fat distribution
EFO:0004531urate measurement

MeSH disease descriptors (3)

DescriptorNameTree numbers
D002607Charcot-Marie-Tooth DiseaseC10.500.300.200; C10.574.500.495.200; C10.668.829.800.300.200; C16.131.666.300.200; C16.320.400.375.200
D015419Spastic Paraplegia, HereditaryC10.500.300.820; C10.574.500.495.820; C10.668.829.800.300.820; C16.131.666.300.820; C16.320.400.375.820
C536864Spastic paraplegia 3, autosomal dominant (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

39 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
trichostatin Aaffects cotreatment, decreases expression3
Valproic Aciddecreases expression, increases expression3
Aflatoxin B1affects expression, decreases methylation, increases methylation3
sodium arseniteincreases expression2
potassium chromate(VI)decreases expression, affects cotreatment2
entinostatdecreases expression, affects cotreatment2
Benzo(a)pyreneaffects methylation, decreases expression, decreases methylation2
FR900359increases phosphorylation1
tungsten carbideaffects cotreatment, increases expression1
methyleugenoldecreases expression1
triphenyl phosphateaffects expression1
bisphenol Aaffects cotreatment, decreases methylation1
lead acetateincreases expression1
beta-lapachonedecreases expression1
propionic aciddecreases expression1
nickel sulfatedecreases expression1
epigallocatechin gallateaffects cotreatment, decreases expression1
2-amino-1-methyl-6-phenylimidazo(4,5-b)pyridineincreases expression1
di-n-butylphosphoric acidaffects expression1
chromium hexavalent iondecreases expression1
perfluorooctane sulfonic aciddecreases expression1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, decreases expression1
dorsomorphinaffects cotreatment, decreases expression1
Sunitinibdecreases expression1
Fulvestrantaffects cotreatment, decreases methylation1
Air Pollutantsdecreases expression, increases abundance1
Cobaltaffects cotreatment, increases expression1
Cytarabineincreases expression1
Ivermectindecreases expression1
Leadaffects expression1

Cellosaurus cell lines

2 cell lines: 2 induced pluripotent stem cell

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_RM26iSPG3A-6Induced pluripotent stem cellFemale
CVCL_RM27iSPG3A-8Induced pluripotent stem cellFemale

Clinical trials (associated diseases)

110 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT07542548PHASE4COMPLETEDD-Cycloserine for Serine Palmitoyltransferase Inhibition
NCT04762758PHASE3UNKNOWNPhase III Trial Assessing the Efficacy and Safety of PXT3003 in CMT1A Patients
NCT06113055PHASE2UNKNOWNHereditary Sensory Neuropathy Serine Trial
NCT03961906PHASE2COMPLETEDPhysiotherapy in Hereditary Spastic Paraplegia
NCT04768166PHASE2COMPLETEDTesting Miglustat Administration in Subjects With Spastic Paraplegia 11
NCT00271635PHASE2COMPLETEDAscorbic Acid Treatment in CMT1A Trial (AATIC)
NCT01401257PHASE2COMPLETEDPhase II, Randomized, Placebo-controlled Trial in Patients With Charcot-marie-tooth Disease Type 1A
NCT02561702PHASE2COMPLETEDMexiletine for Muscle Cramps in Charcot Marie Tooth Disease
NCT02967679PHASE2COMPLETEDSERENDEM : MD1003 in Patients Suffering From Demyelinating Neuropathies, an Open Label Pilot Study
NCT03124459PHASE2TERMINATEDStudy of ACE-083 in Patients With Charcot-Marie-Tooth Disease
NCT03254199PHASE2TERMINATEDA Study to Assess the Safety and Effectiveness of FLX-787 in Subjects With Charcot-Marie-Tooth Disease Experiencing Muscle Cramps.
NCT03943290PHASE2TERMINATEDExtension Study to Evaluate the Long-Term Effects of ACE-083 in Patients With Facioscapulohumeral Muscular Dystrophy (FSHD) and Charcot-Marie Tooth (CMT) Disease Types 1 and X (CMT1 and CMTX)
NCT05777226PHASE2UNKNOWNResearch of SORD-CMT Natural History and Epalrestat Treatment
NCT06482437PHASE2COMPLETEDSafety and Efficacy of NMD670 in Adult Patients With Type 1 and Type 2 Charcot-Marie-Tooth Disease
NCT06117020PHASE1COMPLETEDSingle and Multiple Ascending Dose Study of MTR-601 in Healthy Individuals
NCT04180098Not specifiedCOMPLETEDImproving Gait Adaptability in Hereditary Spastic Paraplegia
NCT04712812Not specifiedRECRUITINGRegistry and Natural History Study for Early Onset Hereditary Spastic Paraplegia
NCT01733407PHASE1/PHASE2COMPLETEDL-Serine Supplementation in Hereditary Sensory Neuropathy Type 1
NCT02604186PHASE2/PHASE3COMPLETEDEffects of Botulinum Toxin Injections in Patients With Hereditary Spastic Paraplegia
NCT05518188PHASE1/PHASE2RECRUITINGMelpida: Recombinant Adeno-associated Virus (serotype 9) Encoding a Codon Optimized Human AP4M1 Transgene (hAP4M1opt)
NCT06948019PHASE1/PHASE2NOT_YET_RECRUITINGSafety and Efficacy of AAV9/AP4B1 (BFB-101) For Patients With AP4B1-related Hereditary Spastic Paraplegia Type 47 (SPG47)
NCT06478238EARLY_PHASE1RECRUITINGCalcium Folinate Treatment of Spastic Paraplegia 56
NCT00023075Not specifiedCOMPLETEDNuclear Magnetic Spectroscopy Imaging to Evaluate Primary Lateral Sclerosis, Hereditary Spastic Paraplegia and Amyotrophic Lateral Sclerosis
NCT00136630Not specifiedCOMPLETEDNatural History, Genetic Bases and Phenotype-genotype Correlations in Autosomal Dominant Spinocerebellar Degenerations
NCT00140829Not specifiedCOMPLETEDSPATAX: Clinical and Genetic Analysis of Cerebellar Ataxias and Spastic Paraplegias
NCT00677768Not specifiedCOMPLETEDValidation of Biomarkers in Amyotrophic Lateral Sclerosis (ALS)
NCT01568658Not specifiedACTIVE_NOT_RECRUITINGGenetic and Physical Study of Childhood Nerve and Muscle Disorders
NCT02327845Not specifiedENROLLING_BY_INVITATIONPhenotype, Genotype & Biomarkers in ALS and Related Disorders
NCT02852278Not specifiedCOMPLETEDA Patient Centric Motor Neuron Disease Activities of Daily Living Scale
NCT02859428Not specifiedTERMINATEDDisease Natural History and Biomarkers of SPG3A, SPG4A, and SPG31
NCT03104088Not specifiedCOMPLETEDStudying Cognition in SPG4
NCT03206190Not specifiedRECRUITINGThe preSPG4 Study - Studying the Prodromal and Early Phase of SPG4
NCT03627416Not specifiedCOMPLETEDRepetitive Transcranial Magnetic Stimulation as Therapy in Hereditary Spastic Paraplegia and Adrenomyeloneuropathy
NCT03981276Not specifiedRECRUITINGPhenotypes, Biomarkers and Pathophysiology in Hereditary Spastic Paraplegias and Related Disorders
NCT04006418Not specifiedRECRUITINGA Registered Cohort Study on Spastic Paraplegia
NCT04256681Not specifiedCOMPLETEDSNAP: Measurement of the Subjective Perception of the Symptom in Hereditary Spastic Paraparesis (HSP)
NCT04875416Not specifiedACTIVE_NOT_RECRUITINGPhenotype, Genotype and Biomarkers 2
NCT04912609Not specifiedCOMPLETEDTrehalose Administration in Subjects With Spastic Paraplegia 11 (3AL-SPG11)
NCT05354622Not specifiedRECRUITINGHereditary Spastic Paraplegia Genomic Sequencing Initiative (HSPseq)
NCT05373082Not specifiedCOMPLETEDIdentification of Modifying Factors in Hereditary Spastic Paraplegia